Organization Active NPI

Russell J. Wojcik, D.P.M., Inc

  • Podiatrist
  • Los Angeles, CA
National Provider Identifier
1942356860
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E19200 Issued in CA
Legal business name
RUSSELL J. WOJCIK, D.P.M., INC
Practice address
419 1/2 N Larchmont Blvd
Los Angeles, CA 90004-3013
Phone
(213) 385-1266
NPI assigned
Jan 25, 2007
Last updated
Dec 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Russell J Wojcik, D.P.M.NPI 1083760995
Title
President
Phone
(213) 385-1266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X E19200 CA Primary

Addresses

Primary practice location

419 1/2 N Larchmont Blvd
Los Angeles, CA 90004-3013

Mailing address

12807 Elkwood St
North Hollywood, CA 91605-2035
Phone (213) 385-1266

Other identifiers 1

IdentifierTypeStateIssuer
000E19200MedicaidCA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

419 N Larchmont Blvd
Los Angeles, CA 90004
Phone (323) 307-1552

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1942356860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12807 ELKWOOD ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916052035",
            "telephone_number": "213-385-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 1/2 N LARCHMONT BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043013",
            "telephone_number": "213-385-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL J. WOJCIK, D.P.M., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "WOJCIK",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-385-1266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E19200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E19200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.